Portenoy's Presage from 1996

[Aether2000]

"During the past decade, debate has intensified about the role of long-term opioid therapy in the management of chronic nonmalignant pain. Specialists in pain management have discussed the issues extensively and now generally agree that a selected population of patients with chronic pain can attain sustained analgesia without significant adverse consequences. This perspective, however, is not uniformly accepted by pain specialists and has not been widely disseminated to other disciplines or the public. Rather, the more traditional perspective, which ascribes both transitory benefit and substantial cumulative risk to long-term opioid therapy, continues to predominate. According to this perspective, the inevitability of tolerance limits the possibility of sustained efficacy, and other pharmacological properties increase the likelihood of adverse outcomes, including persistent side-effects, impairment in physical and psychosocial functioning, and addiction. If accurate, these outcomes would indeed justify the withholding of opioid therapy for all but the most extreme cases of chronic nonmalignant pain." Journal of Law, Medicine & Ethics 1996;24(4):296-309. If he had stopped there, the world would be a different place now.

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[KateFan]

I can't post the link but google "Ricardo Cruciani"

Dr. Cruciani was Portenoy's 1A at the Dept of Pain Medicine and Palliative Care at Beth Israel in NYC for a decade.

If you read the headlines, the implication here, a chief advocate of opioids was using them to blackmail patients for sex.

This ought to be the final nail in the coffin for COT.

 

[drusso]

Wealthy Sex Offender Doctor Gets Zero Jail Time in Patient Groping Case

#MeeToo

 

[101N]

Practical Pain Management: Such an august editorial staff.

 

[NJPAIN]

I can't post the link but google "Ricardo Cruciani"

Dr. Cruciani was Portenoy's 1A at the Dept of Pain Medicine and Palliative Care at Beth Israel in NYC for a decade.

If you read the headlines, the implication here, a chief advocate of opioids was using them to blackmail patients for sex.

This ought to be the final nail in the coffin for COT.

RIP COT. No great loss. I don't know any ID docs getting sex in exchange for broad spectrum antibiotics.

 

[DrCommonSense]

RIP COT. No great loss. I don't know any ID docs getting sex in exchange for broad spectrum antibiotics.

I know plenty of docs in powerful positions that have sex with underlings for many different reasons.

You think Harvey Weinstein, Charlie Rose, Charlie Sheen, Kevin Spacey and Bill Clinton were prescribing COT for patients when they raped/sexually abused women and young kids?

Also, you dont think docs could use Adderal, Xanax or Suboxone (potentially abused substances) as well to trade for sex?

 

[DrCommonSense]

I can't post the link but google "Ricardo Cruciani"

Dr. Cruciani was Portenoy's 1A at the Dept of Pain Medicine and Palliative Care at Beth Israel in NYC for a decade.

If you read the headlines, the implication here, a chief advocate of opioids was using them to blackmail patients for sex.

This ought to be the final nail in the coffin for COT.

I looked him up: Former N.J. doctor facing charges in 3 states admits he groped 7 patients

Doesn't sound worse than this guy:

Former Mt. Sinai Doctor Charged With Sexually Abusing 4 Women

or this guy:

Gymnasts who accused Dr. Larry Nassar of sexual assault speak out

Simple internet searches show me docs from various fields doing the same thing, the vast majority not using COT as their primary method to molest patients.

In fact, the many of the biggest abusers of patients including children are psychiatrists who mostly prescribe SSRIs, Benzos and Adderal but not opioids.

Official Report: Psychiatric Rape: Assaulting Women and Children

 

[emd123]

RIP COT. No great loss. I don't know any ID docs getting sex in exchange for broad spectrum antibiotics.

Maybe not ID, but there are many non-opiate prescribing MDs, pediatricians included, that have been caught abusing patients, sadly.

 

[emd123]

I looked him up: Former N.J. doctor facing charges in 3 states admits he groped 7 patients

Doesn't sound worse than this guy:

Former Mt. Sinai Doctor Charged With Sexually Abusing 4 Women

or this guy:

Gymnasts who accused Dr. Larry Nassar of sexual assault speak out

Simple internet searches show me docs from various fields doing the same thing, the vast majority not using COT as their primary method to molest patients.

In fact, the many of the biggest abusers of patients including children are psychiatrists who mostly prescribe SSRIs, Benzos and Adderal but not opioids.

Official Report: Psychiatric Rape: Assaulting Women and Children

Or this guy...

"Pediatrician Earl Bradley Charged With Molestation of 103 Children" - ABC News - Pediatrician Indicted: 103 Counts of Sex Abuse

 

[DrCommonSense]

Or this guy...

"Pediatrician Earl Bradley Charged With Molestation of 103 Children" - ABC News - Pediatrician Indicted: 103 Counts of Sex Abuse

I particularly like this one

No prison time for Sylvania Township doctor who traded Suboxone for sex

Another PROP pimp trading Suboxone for sex.